Table 2.

Predictors of renal flares in 139 patients with lupus nephritis by univariate and multivariate analysis.

Predictor VariablesUnivariateMultivariate
OR (95% CI)pOR (95% CI)p
Sex (male vs female)1.611 (0.642–4.040)0.3101.395 (0.449–4.338)0.565
Age0.967 (0.942–0.992)0.0111.000 (0.968–1.034)0.986
Baseline laboratory measures
  Serum creatinine0.991 (0.985–0.997)0.0040.989 (0.981–0.997)0.006
  Urinary protein excretion1.009 (0.913–1.116)0.8611.055 (0.939–1.185)0.370
  Anti-dsDNA level1.001 (1.000–1.003)0.1371.002 (1.000–1.004)0.056
  C3 level0.998 (0.985–1.012)0.7870.994 (0.979–1.009)0.402
Induction treatment
  PRED + CYC, n = 641.0001.000
  PRED + MPA, n = 750.365 (0.165–0.870)0.0131.775 (0.622–5.062)0.283
Maintenance treatment ††
  PRED + AZA, n = 851.0001.000
  PRED + MPA, n = 540.319 (0.154–0.664)0.0020.314 (0.099–0.994)0.049
Use of antimalarial0.672 (0.253–1.785)0.4260.588 (0.189–1.828)0.359
History of renal relapse0.703 (0.385–1.286)0.2530.975 (0.464–2.048)0.946
Treatment outcome#
  Complete renal remission0.473 (0.251–0.892)0.0210.329 (0.133–0.810)0.016
  Partial renal remission2.111 (0.909–4.901)0.0822.032 (0.737–5.601)0.170
Treatment era
  Before MPA available (i.e., 1983–1997)1.0001.000
  After MPA available (i.e., 1998–2013)0.284 (0.156–0.518)< 0.0010.305 (0.133–0.700)0.005
  • PRED + CYC as reference group.

  • †† PRED + AZA as reference group.

  • # Treatment failure as reference group. AZA: azathioprine; CYC: cyclophosphamide; MPA: mycophenolic acid; PRED: prednisolone.